Organization
TRANSPLANT AND NEPHROLOGY NORTHWEST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLYNIS L THAKUR (ADMINISTRATOR)
(206) 709-2009
Entity
Organization
Contact information
Practice address
2150 N 107TH ST, SUITE 520, SEATTLE, WA 98133-1305
(206) 709-2009
(206) 709-2019
Mailing address
2150 N 107TH ST, SUITE 520, SEATTLE, WA 98133-1305
(206) 709-2009
(206) 709-2019
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7109598
—
WA
Enumeration date
06/25/2007
Last updated
06/18/2008
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